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Rehab Measures: Brief Fatigue Inventory (Index)

Link to instrument

 

Title of Assessment

Brief Fatigue Inventory (Index) 

Acronym

BFI

Instrument Reviewer(s)

Initially reviewed by Gail L. Widener, PT, PhD and the MS EDGE task force in the neurology section of the APTA on August 2011.

Summary Date

9/3/2013 

Purpose

The Brief Fatigue Inventory (BFI) was developed to quickly measure severity of fatigue in people with cancer.

Description

Consists of nine items that look at fatigue in the past that are rated on a 0 -10 numeric rating scale where 0 is no fatigue or does not interfere and 10 is bad fatigue or completely interferes with activity/work. The BFI has been translated and validated in several languages (Japanese, German, Korean, Chinese, Taiwanese, French) and disease groups (brain tumors, OA, RA, chronic illness). BFI was evaluated in people post stroke, but because people did not complete that tool it was deemed unfeasible to use.

Area of Assessment

 

Body Part

 

ICF Domain

Body Structure; Body Function 

Domain

 

Assessment Type

Patient Reported Outcomes 

Length of Test

05 Minutes or Less 

Time to Administer

5 minutes

Number of Items

Equipment Required

Pen and pencil or computer

Training Required

None

Type of training required

no training 

Cost

Free 

Actual Cost

None

Age Range

Adolescent: 13-17 years; Adult: 18-64 years; Elderly adult: 65+ 

Administration Mode

Paper/Pencil 

Diagnosis

Multiple Sclerosis 

Populations Tested

Multiple Sclerosis (MS); EDSS = 0.0 - 9.5

Standard Error of Measurement (SEM)

Not Established

Minimal Detectable Change (MDC)

Not Established

Minimally Clinically Important Difference (MCID)

Not Established

Cut-Off Scores

Not Established

Normative Data

Not Established

Test-retest Reliability

Not Established

Interrater/Intrarater Reliability

Not Established

Internal Consistency

Not Established

Criterion Validity (Predictive/Concurrent)

Multiple Sclerosis:

(Mendoz TR et al, 1999)

  • Excellent correlation with the fatigue component of the Function Assessment of Cancer Therapy (r = -0.88)
  • Excellent correlation with the fatigue subscale of the Profile of Mood States (r = 0.84)

Construct Validity (Convergent/Discriminant)

Multiple Sclerosis:

(Mendoz TR et al, 1999)

  • Scores greater than or equal to 7 indicates severe fatigue

Content Validity

Not Established

Face Validity

Not Established

Floor/Ceiling Effects

Not Established

Responsiveness

Not Established

Professional Association Recommendations

Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (VEDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

 

For detailed information about how recommendations were made, please visit:  http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations

 

Abbreviations:

HR

Highly Recommend

R

Recommend

LS / UR

Reasonable to use, but limited study in target group  / Unable to Recommend

NR

Not Recommended

 

Recommendations based on level of care in which the assessment is taken:

 

Acute Care

Inpatient Rehabilitation

Skilled Nursing Facility

Outpatient

Rehabilitation

Home Health

MS EDGE

NR

NR

NR

NR

NR

 

Recommendations based on EDSS Classification:

 

EDSS 0.0 – 3.5

EDSS 4.0 – 5.5

EDSS 6.0 – 7.5

EDSS 8.0 – 9.5

MS EDGE

NR

NR

NR

NR

 

Recommendations for entry-level physical therapy education and use in research:

 

Students should learn to administer this tool? (Y/N)

Students should be exposed to tool? (Y/N)

Appropriate for use in intervention research studies? (Y/N)

Is additional research warranted for this tool (Y/N)

MS EDGE

No

No

No

No

Considerations

Average score of the items completed. Test can be scored with as few as 5 out of 9 questions answered.

Do not have any test-retest reliability data; has not been validated or tested in pwMS.

Bibliography

Guirimand, F., Buyck, J. F., et al. (2010). "Cancer-Related Symptom Assessment in France: Validation of the French MD Anderson Symptom Inventory." Journal of pain and symptom management 39(4): 721-733.

Kim, B. R., Chun, M. H., et al. (2012). "Fatigue assessment and rehabilitation outcomes in patients with brain tumors." Support Care Cancer 20(4): 805-812. Find it on PubMed 

Mead, G., Lynch, J., et al. (2007). "Evaluation of fatigue scales in stroke patients." Stroke 38(7): 2090-2095. Find it on PubMed

Mendoza, T. R., Wang, X. S., et al. (1999). "The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory." Cancer 85(5): 1186-1196. Find it on PubMed

Murphy, S. L., Lyden, A. K., et al. (2010). "Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis." Am J Occup Ther 64(6): 869-876. Find it on PubMed

Okuyama, T., Wang, X. S., et al. (2003). "Validation study of the Japanese version of the brief fatigue inventory." J Pain Symptom Manage 25(2): 106-117. Find it on PubMed

Radbruch, L., Sabatowski, R., et al. (2003). "Validation of the German version of the brief fatigue inventory." J Pain Symptom Manage 25(5): 449-458. Find it on PubMed

Wang, X. S., Hao, X. S., et al. (2004). "Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C)." J Pain Symptom Manage 27(4): 322-332. Find it on PubMed

Whitehead, L. (2009). "The measurement of fatigue in chronic illness: a systematic review of unidimensional and multidimensional fatigue measures." J Pain Symptom Manage 37(1): 107-128. Find it on PubMed

Wolfe, F. (2004). "Fatigue assessments in rheumatoid arthritis: comparative performance of visual analog scales and longer fatigue questionnaires in 7760 patients." J Rheumatol 31(10): 1896-1902. Find it on PubMed

Yun, Y. H., Wang, X. S., et al. (2005). "Validation study of the korean version of the brief fatigue inventory." J Pain Symptom Manage 29(2): 165-172. Find it on PubMed

Year published

1999 

Instrument in PDF Format

No 
Approval Status Approved 
 
Attachments
Created at 2/21/2014 1:36 PM  by Jason Raad 
Last modified at 11/20/2014 2:43 PM  by Jason Raad